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Acucorp Evaluation Request

Please complete the Evaluation Request Form and read the license agreement. You may include responses in English, French, German, or Spanish in any of the free form fields.

After you submit the form, an Acucorp representative will contact you. If you have any questions, please call 1-800-262-6585 (in the U.S. or Canada) or email .

Thank you.

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First Name: *
Last Name: *
Title: *
Company Name: *
Company Address: *

City: *
State: *
Zip / Post Code: *
Country: *
Language: *
Business Phone (ext): *    
Fax:
Email: *



How did you hear about Acucorp?
Your interest in the Evaluation Kit is:
Description of COBOL project and main reason for inquiry:
What is your main interest in Acucorp for your COBOL project:
What COBOL are you currently using?
What relational databases does your application access, if any?
(hold CTRL to select)
What platform are you primarily using?
How many COBOL developers does your company have?
Do you have a major application written in COBOL?   Yes     No
Are you interested in developing applications for resale using Acucorp technology? *   Yes     No
Comments:
I agree to receive email updates from Acucorp including eUpdate, Acucorp's monthly email newsletter and other periodic Acucorp announcements. To protect your privacy, Acucorp does not share this information with any third party.

       

 

 

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